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Joint arthroplasty, specifically total knee arthroplasty (TKA) and total hip arthroplasty (THA), are two of the highest value surgical procedures. Over the last several decades, the materials utilized in these surgeries have improved and increased device longevity. However, with an increased incidence of TKA and THA surgeries in younger patients, it is crucial to make these materials more durable. The addition of nanoparticles is one technology that is being explored for this purpose. This review focuses on the addition of nanoparticles to the various parts of arthroplasty surgery comprising of the metallic, ceramic, or polyethylene components along with the bone cement used for fixation. Carbon additives proved to be the most widely studied, and could potentially reduce stress shielding, improve wear, and enhance the biocompatibility of arthroplasty implants. 

Ultra-High Molecular Weight Polyethylene (UHMWPE) is widely used as a bearing surface in total and partial joint arthroplasty. In addition to medical applications, this polymer is utilized in the fields of ballistic protection, sports, and industrial tribology. The addition of carbon allotropes, such as nanographite or carbon black powders, to UHMWPE offers potential benefits including added conductivity, increased wear resistance, and introduction of micro-tracers for understanding microstructural behavior and monitoring damage [1]. The mechanical properties of these Carbon/UHWPE nanocomposites can be enhanced by subjecting them to equal channel angular extrusion (ECAE) as a way to introduce large shear strains to achieve higher molecular entanglement of UHMWPE and better distribution of carbon nanoparticles [2, 3]. In this paper, micro-computed tomography (µCT) is used to characterize carbon black (CB) and nanographite (N27SG) reinforced UHMWPE polymers. It is shown that the procedure described in [1] results in almost uniform distribution of carbon inclusions around UHMWPE particles with both compression molding (CM), and ECAE processes. Multiscale numerical models of the composite are developed based on the µCT images, including mesoscale finite element (FE) models of representative volume element (RVE) on the mesoscale, and micromechanical predictions for carbon-rich interphase layers on the microscale. 

Ultra-high molecular weight polyethylene (UHMWPE) used in biomedical applications, e.g. as a bearing surface in total joint arthroplasty, has to possess superior tribological properties, high mechanical strength, and toughness. Recently, equal channel angular extrusion (ECAE) was proposed as a processing method to introduce large shear strains to achieve higher molecular entanglement and superior mechanical properties of this material. Finite element analysis (FEA) can be utilized to evaluate the influence of important manufacturing parameters such as the extrusion rate, temperature, geometry of the die, back pressure, and friction effects. In this paper we present efficient FEA models of ECAE for UHMWPE. Our studies demonstrate that the choice of the constitutive model is extremely important for the accuracy of numerical modeling predictions. Three considered material models (J2-plasticity, Bergstrom-Boyce, and the Three Network Model) predict different extrusion loads, deformed shapes and accumulated shear strain distributions. The work has also shown that the friction coefficient significantly influences the punch force and that the 2D plane strain assumption can become inaccurate in the presence of friction between the billet and the extrusion channel. Additionally, a sharp corner in the die can lead to the formation of the so-called “dead zone” due to a portion of the material lodging into the corner and separating from the billet. Our study shows that the presence of this material in the corner substantially affects the extrusion force and the resulting distribution of accumulated shear strain within the billet 

Ultra‐high molecular weight polyethylene (UHMWPE) has a variety of industrial and clinical applications due to its superb mechanical properties including ductility, tensile strength, and work‐to‐failure. The versatility of UHMWPE is hindered by the difficulty in processing the polymer into a well consolidated material. This study presents on the effects of shear imparted by equal channel angular pressing (ECAP) on UHMWPE composites containing Nano27 Synthetic Graphite (N27SG). Ductility and work‐to‐failure improvements up to ~60–80% are obtained in sheared N27SG‐UHMWPE composites as compared to non‐sheared N27SG‐UHMWPE controls of the same composition. Microscopy reveals increased fusion at particle boundaries and smaller voids in the sheared materials. Micro‐computed tomography results indicate different distribution of N27SG particulates in ECAP samples as compared to CM indicating enhanced grain boundary interactions. Tradeoffs are not avoided as ECAP samples were lower in conductivity as compared to compression molded (CM) billets of the same weight percent. However, ECAP samples were able to be doped with more N27SG allowing for an ~170% increase in conductivity over CM samples of the same work‐to‐failure. This work shows that ECAP is a viable processing method for obtaining stronger, more ductile conductive composite materials.